| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.35 | $54.20 | $128.96 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
Moda Health
| Facility | $54.20 | $83.20 | $138.66 | |
Moda Health
| Professional | $90.27 | $90.27 | $95.02 | |
Molina
| Professional | $30.00 | $83.51 | $185.29 | |
Regence BlueShield
| Professional | $66.51 | $66.51 | $99.77 | |
United
| Professional | $38.34 | $40.29 | $65.31 |